Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures
Objective: To determine the frequency of postoperative maxillomandibular fixation (MMF) required after open reduction and internal fixation (ORIF) for restoring premorbid occlusion in patients with maxillary and mandibular fractures. Methodology: This cross-sectional analytical study was conducte...
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University of Lahore
2025-06-01
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| Series: | Journal of University College of Medicine and Dentistry |
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| Online Access: | https://journals.uol.edu.pk/jucmd/article/view/3965 |
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| author | Mahrukh Shahbaz Aqib Sohail Fareed ud Din Ahmad Chishti Ali Ammar Hasan Muhammad Abubakr Bin Nauman Muneeba Shoaib |
| author_facet | Mahrukh Shahbaz Aqib Sohail Fareed ud Din Ahmad Chishti Ali Ammar Hasan Muhammad Abubakr Bin Nauman Muneeba Shoaib |
| author_sort | Mahrukh Shahbaz |
| collection | DOAJ |
| description |
Objective: To determine the frequency of postoperative maxillomandibular fixation (MMF) required after open reduction and internal fixation (ORIF) for restoring premorbid occlusion in patients with maxillary and mandibular fractures.
Methodology: This cross-sectional analytical study was conducted in Department of Oral & Maxillofacial Surgery, Ghurki Trust Teaching Hospital, Lahore. Patients aged 12 to 60 years of either gender presenting with maxillary or mandibular fractures were included in the study. ORIF procedure was performed under General Anesthesia with nasal intubation in all cases of maxillary and mandibular fractures under inclusive criteria. Then patients were followed-up in OPD for 2 weeks and evaluated for postoperative malocclusion, and MMF was done for 4 weeks under local anesthesia to restore premorbid occlusion
Results: A total of 382 patients that met the study criteria were included in this study. Out of these, 240 (62.8%) were men and 142 were women. Mean age of the patients was 30.34±9.40 years. The maxilla was the site of fracture in 180 cases (47.1%), while among mandibular fractures, the parasymphyseal region was involved in 172 cases (45.3%) and the angle in 29 cases (7.6%). The overall frequency of postoperative MMF was 53.9%. Among the complications observed, wound dehiscence occurred in 4.5% of cases with MMF and 2.6% without it; infection rates were 6.3% with MMF and 3.9% without. Malocclusion was reported in 0% of cases with MMF compared to 0.8% without MMF.
Conclusion: The findings of this study support the use of post-operative MMF after ORIF of patients with malocclusion in maxillary and mandibular fractures. This treatment modality may offer a safe, effective, and reliable means of achieving optimal occlusal outcomes and improving patient satisfaction; however, further controlled studies are needed to establish its role in standard care.
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| format | Article |
| id | doaj-art-2192dd67a058408fbfb2a849c26d841e |
| institution | Kabale University |
| issn | 2790-3443 2790-3451 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | University of Lahore |
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| series | Journal of University College of Medicine and Dentistry |
| spelling | doaj-art-2192dd67a058408fbfb2a849c26d841e2025-08-20T03:31:24ZengUniversity of LahoreJournal of University College of Medicine and Dentistry2790-34432790-34512025-06-014210.51846/jucmd.v4i2.3965Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial FracturesMahrukh Shahbaz0Aqib Sohail1Fareed ud Din Ahmad Chishti2Ali Ammar Hasan3Muhammad Abubakr Bin Nauman4Muneeba Shoaib5PostGraduate Trainee, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,LahoreProfessor, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,LahoreAssociate Professor, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,LahoreDemonstrator, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,LahorePost Graduate Trainee, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,LahorePost Graduate Trainee, Department of Oral and Maxillofacial Surgery, Lahore Medical and Dental College,Lahore Objective: To determine the frequency of postoperative maxillomandibular fixation (MMF) required after open reduction and internal fixation (ORIF) for restoring premorbid occlusion in patients with maxillary and mandibular fractures. Methodology: This cross-sectional analytical study was conducted in Department of Oral & Maxillofacial Surgery, Ghurki Trust Teaching Hospital, Lahore. Patients aged 12 to 60 years of either gender presenting with maxillary or mandibular fractures were included in the study. ORIF procedure was performed under General Anesthesia with nasal intubation in all cases of maxillary and mandibular fractures under inclusive criteria. Then patients were followed-up in OPD for 2 weeks and evaluated for postoperative malocclusion, and MMF was done for 4 weeks under local anesthesia to restore premorbid occlusion Results: A total of 382 patients that met the study criteria were included in this study. Out of these, 240 (62.8%) were men and 142 were women. Mean age of the patients was 30.34±9.40 years. The maxilla was the site of fracture in 180 cases (47.1%), while among mandibular fractures, the parasymphyseal region was involved in 172 cases (45.3%) and the angle in 29 cases (7.6%). The overall frequency of postoperative MMF was 53.9%. Among the complications observed, wound dehiscence occurred in 4.5% of cases with MMF and 2.6% without it; infection rates were 6.3% with MMF and 3.9% without. Malocclusion was reported in 0% of cases with MMF compared to 0.8% without MMF. Conclusion: The findings of this study support the use of post-operative MMF after ORIF of patients with malocclusion in maxillary and mandibular fractures. This treatment modality may offer a safe, effective, and reliable means of achieving optimal occlusal outcomes and improving patient satisfaction; however, further controlled studies are needed to establish its role in standard care. https://journals.uol.edu.pk/jucmd/article/view/3965Maxillomandibular FixationMaxillofacial FracturesOpen Reduction Internal Fixation |
| spellingShingle | Mahrukh Shahbaz Aqib Sohail Fareed ud Din Ahmad Chishti Ali Ammar Hasan Muhammad Abubakr Bin Nauman Muneeba Shoaib Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures Journal of University College of Medicine and Dentistry Maxillomandibular Fixation Maxillofacial Fractures Open Reduction Internal Fixation |
| title | Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures |
| title_full | Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures |
| title_fullStr | Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures |
| title_full_unstemmed | Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures |
| title_short | Frequency of Postoperative Maxillomandibular Fixation Following Open Reduction and Internal Fixation in Maxillofacial Fractures |
| title_sort | frequency of postoperative maxillomandibular fixation following open reduction and internal fixation in maxillofacial fractures |
| topic | Maxillomandibular Fixation Maxillofacial Fractures Open Reduction Internal Fixation |
| url | https://journals.uol.edu.pk/jucmd/article/view/3965 |
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